YUSUF ATA MOHYUDDIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117306

License Status

ACTIVE

Business

First Name

YUSUF

Middle

ATA

Last Name

MOHYUDDIN

Suffix

Business Name

YUSUF ATA MOHYUDDIN MD

Original Issue Date

12/14/2006

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

07/17/2023